All about Gingival Enlargements

Gingival Enlargements

What are Gingival Enlargements?

Gingival Enlargement also referred to as gingival hyperplasia, gingival overgrowth, gum enlargement, hypertrophy and hypertrophic gingivitis.

Gingival hyperplasia is a common clinical problem that increases the number of cells. It is a condition in which the size or thickness of gingiva is increased.

The increased gingiva is removed with the help of gingivectomy and gingivoplasty surgical procedures.

Gingival enlargement could be occurred due to either hypertrophy or hyperplasia. The gingival hyperplasia can be resolved by improving oral hygiene.

What are the Clinical Signs of Gingival Hyperplasia?

These are some clinical signs of Gingival Hyperplasia which are given below:

  • Swelling of gums
  • Gums may appear reddened or inflamed
  • Gums size may increase which is difficult to visualize
  • Pockets develop in the gums
  • Growth of mass formation on the gum line
  • Bad breath
  • Looseness in teeth

What are The Possible Causes of Gingival hyperplasia?

In most cases the causes are not fully understandable. The common causes of Gingival Hyperplasia are mentioned below:

  • Poor dental hygiene
  • Plaque along the gum line
  • Nutritional deficiency (Vitamin C deficiency)
  • Mouth breathing
  • Systematic diseases
  • Hormonal states like pregnancy
  • Medications
  • Genetic condition (occur at birth time)
  • Blood condition such as anaemia

Other gum hypertrophy causes include:

  • scurvy
  • pregnancy
  • gingivitis
  • acute leukaemia

What Treatment Should Take Place for Gingival Enlargements?

The treatment of gingival enlargement is based on the kind of cause and underlying pathologic changes that have occurred.

Gingival hyperplasia is treated with gingivectomy, a treatment wherein a large amount of gingival tissue is removed.

The objective of a gingivectomy is to reestablish the typical sulcus depth and gingival shape.

The treatment relies upon the hidden reason. Gingivitis may improve with the accompanying measures:

  • Expulsion of bacterial plaque by intensive tooth brushing and flossing.
  • Antiseptic mouthwashes like, chlorhexidine.
  • Ultrasonic treatments.
  • Anti-infection agents reduce oral bacterial load.

What are the Effects of Gingival Overgrowth?

The effects of gingival overgrowth are mentioned below:

  • Gingival Overgrowth causes both physical and psychological pain.
  • Overgrowth of the front teeth is basic in transplant patients and destroy influenced teeth.
  • Overgrowth tissue develops pockets which lead to infection, cavities and halitosis.
  • In aesthetic problems, a gingival overgrowth can lead to anxiety, fear, pain and depression.
  • Drug actuated gingival overgrowth is normally restricted to the gingiva.

Describe the Classification of Gingival Enlargements? `

Gingival Enlargement can be classified according to etiologic factors and pathologic changes a follow:

  1. Inflammatory enlargement
  • Chronic
  • Acute
  1. Drug-induced enlargement
  2. Enlargement associated with systemic diseases
  3. Conditioned enlargement
  • Pregnancy
  • Puberty
  • Vitamin C deficiency
  • Plasma cell gingivitis
  • Non-specific conditioned enlargement

B. Systemic diseases causing gingival enlargement

  • Leukemia
  • Granulomatous disease
  1. Neoplastic enlargement
  • Benign tumors
  • Malignant tumors
  1. False enlargement

How is gingival hyperplasia diagnosed?

While gingival hyperplasia is frequently dependent on clinical appearance, diagnosis requires histopathology.

In gingival hyperplasia, the abnormal gingival expansion is due to the increment of gingival cells.

This medical condition is often diagnosed only doing regular inspection of the mouth. Whole mouth dental radiographs ought to be performed on all pets for gingival hyperplasia treatment.

This is important to know the strength of the teeth and jaw. Most of the time, gingival hyperplasia will cover critical dental infections that may require extractions.

How is gingival hyperplasia treated?

Gingival hyperplasia is most usually treated with the help of surgical removal of the tissue. Gingivoplasty is a method that is performed under general anesthesia, often related to a careful dental cleaning.

Your dentist will remove extra gingival tissue, reestablish the typical gumline contour and eliminating deep pockets that are better for trapping food and debris.

By removing the infection inside the mouth, gingivoplasty improves the presence of the mouth while additionally reduce distress and slow down the condition.

Despite it gives relevant improvement in clinical signs, gingivoplasty doesn’t fix the condition. The gum tissue will again start to increase after some time and again surgery takes place.

Is Gingival Enlargements being Painful?

Gingival hyperplasia treatment less painful due to oral health, bleeding gums, enlarged, inflated gums and redness of the gums. It also depends on the severity of the lesions until it is detected by a professional dentist.

What Medications can Cause Gingival Hyperplasia?

Generally used medications can lead to gingival changes, including gingival overgrowth and gum disease. There are no particular bacteria or risk factors other than poor plaque related to these gingival diseases.

Medications taken for certain conditions which cause Gingival Hyperplasia. Those drugs include:

Phenytoin – used to control seizure issue

Cyclosporine – used for antirejection treatment in organ transplant patients

Calcium channel blockers – used for cardiovascular conditions

Sodium valproate – used as an antidepressant and anticonvulsant.

How Much Does Gingival Hyperplasia Surgery Cost?

Cost for Gingival Hyperplasia Surgery run from multiple to per tooth. A Ekdantam dental specialists may charge less for various teeth — for the most part up to 3 — done in a solitary session.

If you have insurance, gingivectomy is likely secured by your plan policies if it’s done to treat periodontal disease or mouth damage.

Your insurance for treatment won’t cover it if it’s done only for cosmetic reasons only.

The cost may change depending how much work is done, as well, and what number of sessions it takes to finish by the dentist.

If you have any kind of concern on gingival hyperplasia, call at +91-9782601131Ekdantam Dental Clinic would be happy to assist you with their professional dental team in doing so. Hurry up!!


What are the common causes of gingival enlargements?

Gingival enlargements can be caused by various factors such as poor oral hygiene, certain medications, hormonal changes, genetic predisposition, systemic health conditions, and inflammatory or infectious gum diseases.

What are the symptoms of gingival enlargements?

Symptoms may include visibly enlarged or swollen gums, changes in gum texture, increased sensitivity or tenderness in the gums, and difficulties in maintaining proper oral hygiene due to the overgrown gum tissue.

Can gingival enlargements be a sign of a more severe dental issue?

While gingival enlargements can sometimes be a result of specific systemic health conditions or medications, they can also be indicative of underlying periodontal diseases or other oral health concerns. Consulting a dentist is essential for a proper diagnosis and treatment plan.

How are gingival enlargements diagnosed?

Diagnosis typically involves a comprehensive dental examination, including a review of the patient’s medical history, an assessment of the gum tissue, and, if necessary, additional tests such as dental X-rays and periodontal assessments.

What are the treatment options for gingival enlargements?

Treatment options may include improved oral hygiene practices, scaling and root planing, prescription of alternative medications, surgical procedures such as gingivectomy or gingivoplasty, and management of any underlying systemic health conditions contributing to the enlargement.

Can gingival enlargements be prevented?

Maintaining good oral hygiene practices, including regular brushing, flossing, and professional dental cleanings, can help prevent certain cases of gingival enlargements. Managing systemic health conditions and regularly reviewing medication side effects with a healthcare provider can also be beneficial.

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